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[经全椎体切除术治疗脊柱复杂损伤与肿瘤的手术治疗潜力与展望]

[The potentials and outlook for the surgical treatment of complicated injuries and tumors of the spine by total vertebrectomy].

作者信息

Korzh A A, Prodan A I, Gruntovskiĭ G Kh, Filippenko V A

出版信息

Vestn Khir Im I I Grek. 1993 May-Jun;150(5-6):41-5.

PMID:8091579
Abstract

The use of vertebrectomy in 9 patients with long-standing complicated dislocation fractures of vertebrae and defects of tissues of the spinal cord from 1 up to 12 cm has shown that the operation of removal of up to 3 vertebrae is technically quite realizable. Clinical results however are yet minimum, which requires further search for methods of stimulation of regenerative processes in the zone of connection of the spinal cord stumps. The use of the method for treatment of 4 patients with tumors of the vertebrae has revealed a number of problems requiring a somewhat different approach both to the performance of the operation and to the following fixation of the backbone. Possible variants to settle the problems are proposed. Good prospects of this trend are noted.

摘要

对9例患有长期复杂椎体脱位骨折且脊髓组织缺损达1至12厘米的患者进行椎体切除术的结果表明,切除多达3个椎体的手术在技术上是完全可行的。然而,临床效果仍很有限,这就需要进一步探索刺激脊髓残端连接区域再生过程的方法。对4例椎体肿瘤患者使用该方法进行治疗时发现了一些问题,这就需要在手术操作及后续脊柱固定方面采用略有不同的方法。文中提出了解决这些问题的可能方案。并指出了这一趋势具有良好的前景。

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